Provider Demographics
NPI:1841266160
Name:YOUNG, ALAN W (DO)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:W
Last Name:YOUNG
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Gender:M
Credentials:DO
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Mailing Address - Street 1:225 E SONTERRA BLVD
Mailing Address - Street 2:STE. 206
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3992
Mailing Address - Country:US
Mailing Address - Phone:210-696-5858
Mailing Address - Fax:210-558-4464
Practice Address - Street 1:3551 ROGER BROOKE DR
Practice Address - Street 2:
Practice Address - City:FORT SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234-4504
Practice Address - Country:US
Practice Address - Phone:210-696-5858
Practice Address - Fax:210-558-4464
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2019-12-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXG22512081P0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P0004XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSpinal Cord Injury Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE51615Medicare UPIN
TX00F28PMedicare ID - Type Unspecified